2006
DOI: 10.1017/s0950268806006406
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Outbreaks of waterborne infectious intestinal disease in England and Wales, 1992–2003

Abstract: We reviewed the epidemiological and microbiological characteristics of 89 reported outbreaks of waterborne infectious intestinal disease affecting 4321 people in England and Wales over the period 1992-2003. Public water supplies were implicated in 24 outbreaks (27%), private water supplies in 25 (28%), swimming pools in 35 (39%) and other sources in five outbreaks (6%). Cryptosporidium was implicated in 69% of outbreaks, Campylobacter sp. in 14%, Giardia in 2%, E. coli O157 in 3% and Astrovirus in 1%. From 200… Show more

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Cited by 185 publications
(105 citation statements)
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“…In the United Kingdom Giardia spp. are present in livestock (Hutchison et al, 2004), dogs (Canis lupus familiaris; Batchelor et al, 2008), and water supplies (Smith et al, 2006). In the fourth step criteria for release or exclusion of animals for reintroduction should be considered.…”
Section: Discussionmentioning
confidence: 99%
“…In the United Kingdom Giardia spp. are present in livestock (Hutchison et al, 2004), dogs (Canis lupus familiaris; Batchelor et al, 2008), and water supplies (Smith et al, 2006). In the fourth step criteria for release or exclusion of animals for reintroduction should be considered.…”
Section: Discussionmentioning
confidence: 99%
“…Fue posible demostrar que el agua potable estaba contaminada por residuos sanitarios. La conexión entre la contaminación del agua y el brote de la enfermedad dió lugar no sólo al establecimiento de áreas protegidas (fuentes y sistemas de abastecimiento de agua potable), sino también a la descontaminación y tratamiento de las aguas, para eliminar la mayor cantidad de bacterias posibles [52].…”
Section: Enfermedades Transmitidas Por El Aguaunclassified
“…; most of these can be attributed to deficiencies in the filtration process (THOMPSON, 2004;KARANIS et al, 2007;BALDURSSON;KARANIS, 2011;EFSTRATIOU et al, 2017). Cattle has already been considered as a source of water contamination; however, there is little evidence that these animals are the main source of waterborne outbreaks, and that contamination with sanitary effluent from domestic sources is the most likely source (THOMPSON, 2004;SMITH et al, 2006;THOMPSON, 2008). Livestock and rainfall in poorly filtered catchment areas favor the occurrence of outbreaks, especially in areas where environmental concentrations of these protozoans are higher (RISEBRO et al, 2007;PLUTZER et al, 2010a).…”
Section: Cryptosporidium and Giardia: Waterborne Organisms And Their mentioning
confidence: 99%